Sexual Behaviors of Non-gay Identified Non-disclosing Men Who Have Sex with Men and Women

Men who have sex with men and women (MSMW), particularly Black MSMW, are at high risk for HIV. However, few studies have focused on factors that influence Black MSMW’s specific HIV risk behaviors, and there are no evidence-based interventions specifically targeting this population. Some studies have suggested that masculine ideals are associated with high-risk sex practices and partners. Norms around masculinity in the social environments in which MSMW live may prohibit nonheterosexual identities and behaviors, may lead to internalized homophobia, and may promote high-risk strategies to seek male partners. Using data collected from 180 Black and 101 White MSMW recruited for a study to develop strategies for recruiting MSMW for research and services and to inform the content of HIV prevention messages, we examined the association between hypermasculinity ideals and sexual behaviors that may contribute to increased HIV risk among Black MSMW and a comparison group of White MSMW. Comparing Black and White MSMW, we explored how this association may differ by race. Multivariate models, controlling for sociodemographic and other covariates, indicate that hypermasculine ideals are associated with increased numbers of male and female partners among Black MSMW and an increased number of female partners among White MSMW. Hypermasculinity is important to address in programs that aim to reduce HIV risk among Black MSMW.

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HIV Risk Among Men Who Have Sex With Men and Women

PsycEXTRA Dataset ◽

10.1037/e632382010-001 ◽

2010 ◽

Author(s):

Nadine Nakamura ◽

Shirely J. Semple ◽

Steffanie A. Strathdee ◽

Thomas L. Patterson

Keyword(s):

Hiv Risk ◽

Men And Women ◽

Sex With Men

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Faculty Opinions recommendation of Gender role conflict among African American men who have sex with men and women: associations with mental health and sexual risk and disclosure behaviors.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717965377.793466439 ◽

2012 ◽

Author(s):

Wizdom Powell

Keyword(s):

Mental Health ◽

African American ◽

Gender Role ◽

Sexual Risk ◽

Role Conflict ◽

Gender Role Conflict ◽

African American Men ◽

Men And Women ◽

Sex With Men

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Faculty Opinions recommendation of Types of female partners reported by black men who have sex with men and women (MSMW) and associations with intercourse frequency, unprotected sex and HIV and STI prevalence.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718276508.793491143 ◽

2014 ◽

Author(s):

Elizabeth Ngugi

Keyword(s):

Black Men ◽

Unprotected Sex ◽

Men And Women ◽

Female Partners ◽

Sex With Men

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Love and Intimacy as Vulnerability to HIV Infection: A Case Study of MSM

Social Work Chronicle ◽

10.21863/swc/2016.5.1.007 ◽

2016 ◽

Vol 5 (1) ◽

Author(s):

Archana Kaushik

Keyword(s):

Hiv Infection ◽

Cultural Values ◽

Sexual Behaviors ◽

Sex Workers ◽

Sexual Minorities ◽

Suicide Attempts ◽

Service Providers ◽

Structural Barriers ◽

Health Seeking ◽

Sex With Men

Sexual minorities are among the most marginalized groups in the society. Sero-positivity accentuates social exclusion among the sexual minorities. The paper aims to appraise the factors that make Men who have Sex with Men (MSM) vulnerable to HIV infection and influence their health seeking behaviors. It highlights two major domains socio-cultural and interpersonal variables. Qualitative in nature and based on ten in-depth case studies of HIV infected MSM, the study is located in Delhi, India. Factors such as age, marital status, child sexual abuse, multiple sex partners, are crucial in influencing their vulnerability. Socio-cultural milieu puts structural barriers restricting integration of MSM in the society. Cultural values do not allow talking about sex, which hampers healthy sexual behaviors. Exhibiting aggression, sexual violence, visiting sex-workers etc. are considered as important aspects to prove manhood. At the interpersonal level, possessiveness, betrayal, infidelity, heartbreak, strong emotional whirlpool when love-relations go incongruent, all takes a heavy toll of their mental and physical health. These variables socially exclude the sexual minorities from the mainstream life. Findings show positive (disclosing to family, abstinence, spiritual growth) and negative (suicide-attempts, drug-use) ways of coping among the MSM respondents. Critical areas of concern for service-providers while planning interventions for empowering people with sexual minority are delineated.

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Productive pleasures across binary regimes: Phenomenologies of bisexual desires among Latino men

Sexualities ◽

10.1177/1363460719839915 ◽

2019 ◽

Vol 23 (4) ◽

pp. 645-665 ◽

Cited By ~ 1

Author(s):

Jorge Fontdevila

Keyword(s):

Impression Management ◽

Qualitative Interviews ◽

Status Quo ◽

Sexual Agency ◽

Latino Men ◽

Hetero Structure ◽

Men And Women ◽

Liminal Spaces ◽

Sexual Ambiguity ◽

Sex With Men

Modern orders were founded on the repudiation of sexual ambiguity and the confinement of desire within discursive classifications of man/woman and hetero/homosexual binaries. However, the persistence of bisexual practices reveals the unstable nature of these modern binary regimes, which require the “erasure” of bisexuality to perpetuate their status quo. Yet some men negotiate their bisexual desires in productive ways without undermining their sense of masculinity and sexual agency. Based on qualitative interviews I explore the sexualities of a group of these men—Latino men who have sex with men and women in southern California. I find that sex with women involves interactional work that is more demanding on impression management and moral grounds. Sex with men is rougher, adventurous, and less restrained. I conclude that sex with men opens liminal spaces that resist binary definition and are less discursively regulated—relative “anti-structures” à la Victor Turner that decouple agency from (hetero)structure. This transgressive liminality is key to understanding these same-sex spaces' recurrent attraction and productive pleasure. The study challenges monolithic understandings of migrant sexualities by finding great diversity among non-gay identified men, including homoerotic practices combined with strong desire for women.

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Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

BMJ Open ◽

10.1136/bmjopen-2020-037608 ◽

2020 ◽

Vol 10 (11) ◽

pp. e037608

Author(s):

Mario Martín-Sánchez ◽

Richard Case ◽

Christopher Fairley ◽

Jane S Hocking ◽

Catriona Bradshaw ◽

...

Keyword(s):

Health Centre ◽

Cross Sectional Study ◽

Sexual Practices ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Men And Women ◽

Sexually Transmitted ◽

Receptive Anal Sex ◽

Sex With Men

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

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